Why Do People Self-Injure? Part 2, with Dr. Kirsty Hird

Dr. Kirsty Hird, a Research Officer in the Youth Mental Health team at The Kids Research Institute Australia, adds to Episode 1 of The Psychology of Self-Injury podcast by explaining in depth and in layman's terms why people self-injure according to the six most common/popular theoretical models. Connect with Dr. Hird on LinkedIn here, view her staff profile here, and follow her on ResearchGate here. Below are two of her papers related to today's interview as well as a few other resources referenced in this episode:

1. Hird, K., Hasking, P., & Boyes, M. (2023). A comparison of the theoretical models of NSSI. In E.E. Lloyd-Richardson, I. Baetens, & J. Whitlock (Eds.), The Oxford handbook of nonsuicidal self-injury (pp. 24-40). Oxford University Press.
2. Hird, K., Hasking, P., & Boyes, M. (2022). Relationships between outcome expectancies and non-suicidal self-injury: Moderating roles of emotion regulation difficulties and self-efficacy to resist self-injury. Archives of Suicide Research, 26(4), 1688-1701.
3. Gray, N., Uren, H., Pemberton, E., & Boyes, M. (2023). Profiling ambivalence in the context of nonsuicidal self-injury. Journal of Clinical Psychology, 79(8), 1699-1712.
4. Ramsey, W. A., Berlin, K. S., Del Conte, G., Lightsey, O. R., Schimmel-Bristow, A., Marks, L. R., & Strohmer, D. C. (2021). Targeting self-criticism in the treatment of nonsuicidal self-injury in dialectical behavior therapy for adolescents: a randomized clinical trial. Child and Adolescent Mental Health, 26(4), 320-330.
5. Gratz, K., & Tull, M. (2025). Acceptance-based emotion regulation therapy: A clinician’s guide to treating emotion dysregulation and self-destructive behaviors using an evidence-based therapy drawn from ACT and DBT. Harbinger Press.

Below are links to the original 6 theoretical models discussed in this episode:

1. Four Function Model - Nock, M. K., & Prinstein, M. J. (2004). A functional approach to the assessment of self-mutilative behavior. Journal of Consulting and Clinical Psychology, 72(5), 885–890.
2. Experiential Avoidance Model - Chapman, A. L., Gratz, K. L., & Brown, M. Z. (2006). Solving the puzzle of deliberate self-harm: The experiential avoidance model. Behaviour Research and Therapy, 44(3), 371–394.
3. Emotional Cascade Model - Selby, E. A., & Joiner, T. E. (2009). Cascades of emotion: The emergence of borderline personality disorder from emotional and behavioral dysregulation. Review of General Psychology, 13(3), 219–229.
4. Integrated Model - Nock, M. K. (2010). Self-injury. Annual Review of Clinical Psychology, 6(1), 339–363.
5. Cognitive-Emotional Model - Hasking, P., Whitlock, J., Voon, D., & Rose, A. (2017). A cognitive-emotional model of NSSI: Using emotion regulation and cognitive processes to explain why people self-injure. Cognition and Emotion, 31(8), 1543–1556.
6. Barriers and Benefits Model - Hooley, J. M., & Franklin, J. C. (2018). Why do people hurt themselves? A new conceptual model of nonsuicidal self-injury. Clinical Psychological Science, 6(3), 428–451.

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